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Cosmetic Eyelid Surgery
London oculoplastic surgeon performs minimally invasive aesthetic procedures
Eyelid surgery is known as blepharoplasty and is usually carried out by an oculoplastic surgeon
who specialises in surgery to the eyelids and orbital sockets. Cosmetic eyelid surgery is a surgical
procedure that improves the appearance of the eyelids by tightening the muscle tissue or removing
excess fat and skin from the upper or lower eyelids.
Eyelids and ageing
The skin of the eyelid is very thin and so is the first part of the face to show signs of ageing.
Gravity, stress, environmental factors and the ageing process make the skin all over the body sag
downward, but it affects the eyelids first, making them sag downward and giving the face a tired or
even sad or angry appearance.
Many people find the facial changes of ageing – particularly changes in the appearance of the eyes
– upsetting. Indeed, it is upsetting to be misconstrued as being angry or sad all the time! With
advances in surgical techniques, a facelift is no longer necessary to restore youthful eyes.
Minimally invasive cosmetic eyelid surgery
Minimally invasive eyelid procedures, usually done on an outpatient basis, are an ever more
popular way to refresh the face and regain an energetic, awake and youthful appearance. Specialist
oculoplastic surgeons in London are finding requests for cosmetic eyelid surgery are increasing
from both women and men in line with international trends.
Blepharoplasty may be recommended when the muscles and tissue that supports the eyelids
weakens and allows eyelid fat to herniate forwards. This creates the impression and even sensation
of heaviness over the eyes. It can be combined with a brow lift when the brow and forehead has
also begun to sag. Both a brow lift and cosmetic eyelid surgery are minimally invasive day
Lower eyelid blepharoplasty
Cosmetic surgery to the lower eyelid can treat under eye bags, drooping lower eyelids, excess skin,
fine wrinkles and circles under the eyes. It is ideal for correcting puffy fat deposits under the eyes.
Three different methods can be used to lift the appearance of the lower eyelids, depending on how
much excess skin and fat needs to be removed. There is no clearly visible scarring.
Upper eyelid blepharoplasty
In upper eyelid cosmetic surgery, an incision is typically made inside the natural crease of the
eyelid. Once the incision is made, fat deposits are repositioned or removed, muscles and tissue are
tightened, and excess skin is removed. After the procedure, the incisions are closed with fine
sutures or tissue glue. As the incision is made in the natural crease, there is no clearly visible
Brow lift procedure
There are two types of brow lift surgery: a coronal brow lift and an endoscopic brow lift. With a
coronal brow lift, an incision is made with the hairline and the forehead skin is lifted, tissues
released, muscles adjusted and the eyebrows lifted. Excess skin is trimmed off and the incision is
closed with fine sutures or clips.
In an endoscopic brow lift, three to five short incisions are made behind the hairline. A narrow
endoscope is inserted into one of the incisions to enable the surgeon to see beneath the skin
without making the long incision in a traditional brow lift. The skin is lifted through the incisions
and excess skin is trimmed, and the overlying skin is shifted to a tighter contour.
Planning cosmetic eyelid surgery in London
A small number of London hospitals regularly perform cosmetic eyelid surgery. It is important to
attend an initial consultation where you will discuss your medical history, undergo simple tests and
discuss the goals and expectations for the surgery, as well as the procedure, anaesthesia and risks
involved. Bringing along old photographs of younger years may assist in planning the surgery.
Recovering from surgery
As the procedures are minimally invasive, they are usually conducted on an outpatient basis. There
will be swelling and bruising which will subside after about two weeks, and continue to improve
for up to a year after surgery. The positive results of cosmetic eyelid surgery are a more alert and
youthful look and the majority of people are very satisfied with the outcome of their surgery.
Dr Pari Shams is a full member of the British Oculoplastic Surgery Society (BOPSS), the
American Society of Plastic and Reconstructive Surgery (ASOPRS) and the International Thyroid
Eye Disease Society (ITEDS). She specialises in the treatments of conditions that affect the
eyelids, brow, cheek, eye socket and tear duct system. She is based in London and consults at
Harley Street Practice, Optegra Eye Hospital and Moorfields Private Eye Hospital. Dr Shams has
been actively involved in clinical research over the last 15 years and has contributed to numerous
peer reviewed publications in the field of oculoplastic, lacrimal and orbital disease. She has
presented her research at over 30 national and international conferences and has received
numerous awards and prizes. Dr Shams practices as part of a large multidisciplinary team
including dermatologists and maxillo-facial surgeons to deliver the highest quality of care, patient
experience, outcomes and safety to all her patients. For more information, please visit: